作　　者： (庄珣）; ;

机构地区： 广东省佛山市第五人民医院康复医学研究所528200

出　　处： 《蚌埠医学院学报》 2022年第1期55-58,62,共5页

摘　　要： 目的:探讨针刺运动疗法对老年脑卒中病人腕关节屈伸肌群等速肌力评估分析及手功能的影响。方法:老年脑卒中慢性期手功能障碍病人60例,按照随机数字法分为观察组和对照组,各30例。对照组进行常规运动治疗,观察组进行头针运动疗法。比较2组治疗前和治疗2、4周后腕部屈伸肌群峰力矩(PT)、最大总用功(TW)、平均功率(AP)及手部运动力指数(MI)。结果:治疗前2组腕部屈伸肌群PT、TW、AP及MI差异均无统计学意义(P>0.05);治疗2、4周后2组PT、TW、AP均高于治疗前(P<0.05),且观察组高于对照组(P<0.05~P<0.01)。治疗前2组手部MI差异无统计学意义(P>0.05);治疗2、4周后2组手部MI高于治疗前(P<0.05),且观察组明显高于对照组(P<0.01)。结论:头针运动疗法能改善老年脑卒中病人腕部屈伸肌的肌力及手的运动能力,为临床提供新的思路和参考依据。 Objective:To explore the effect of acupuncture exercise therapy on the isokinetic muscle strength evaluation of wrist flexor and extensor muscles and hand function in the elderly stroke patients.Methods:Sixty cases of elderly stroke patients with hand dysfunction in chronic stage were randomly divided into observation group and control group(30 cases in each group).The control group was treated routine exercise therapy,and the observation group was treated scalp acupuncture exercise therapy.The peak torque(PT),maximum total work(TW),average power(AP)and hand motricity index(MI)of wrist flexor and extensor muscles were compared before treatment,2 weeks and 4 weeks after treatment in the two groups.Results:Before treatment,there was no significant difference in PT,TW,AP and MI between the two groups(P>0.05);two weeks and 4 weeks after treatment,PT,TW,AP in the two groups were higher than those before treatment(P<0.05),and which in observation group were higher than those in control group(P<0.05 to P<0.01).Before treatment,there was no significant difference in hand MI between the two groups(P>0.05);two weeks and 4 weeks after treatment,the hand MI in the two groups was higher than that before treatment(P<0.05),and which in observation group was significantly higher than that in control group(P<0.01).Conclusions:Scalp acupuncture exercise therapy can improve the muscle strength of wrist flexor and extensor muscles and hand movement ability of elderly stroke patients,and provide new ideas and references for clinical practice.

关 键 词： 脑卒中 手功能障碍 头针运动疗法 等速肌力 康复

领　　域： [医药卫生—神经病学与精神病学] [医药卫生—临床医学]